Question 1

27. Witch of the following defines the maximum time that a debt can be collected from the time it was incurred or became due?

Accepted Answer

statute of limitations

Question 2

29. Witch of the following financial reports produces a quarterly review of any dollar amount a patient still owes after all insurance carriers claim payments have been received?

Accepted Answer

aging

Question 3

34. Witch of the following is the correct procedure for keeping a workers compensation patients financial an health records when the same physician is also seeing the patient as a private patient?

Accepted Answer

separate financial and health records must be used.

Question 4

35. Witch of the following is the correct CPT code assignment for mediastina and region lymphadenectomy with a RT video assisted theoretic (VATS) lobectomy?

Accepted Answer

32663-RT, 32674

Question 5

40. A patient presents with low back pain. the physician ordered an MRI and discovered the patient has L5/S1 spondylolisthesis. Witch of the following is the correct ICD-10-CM code assignment.

Accepted Answer

M43.17

Question 6

41. When posting an insurance payment via an EOB, the amount that is considered contractual is the?

Accepted Answer

Insurance allowed amount.

Question 7

42. Applying the birthday rule, a minor child comes in. Both parents have remarried and the child is listed on the mothers, fathers and both step parents polocies. The mothers birthday is April 16, stepfathers birthday MArch 19

Accepted Answer

fathers plan is primary, mothers plan is secondary.

Question 8

46. Patient presents to office with cough, chest tightness, and sore throat. the physician assessment is URI. Witch of the correct ICD-10-CM code?

Accepted Answer

J06.9

Question 9

47. Witch of the following are violations of the Stark Law.

Accepted Answer

accepting gifts in place of payment from patients, referring patients to facilities where the provider has a financial interest.

Question 10

48. When a document is changed in an EHR, the original documentation is?

Accepted Answer

hidden

Question 11

52. Collecting statistics on the frequency of copay collection at time of service is a step in the process of correct response?

Accepted Answer

managing A/R

Question 12

53. When the patient has signed the assignment of benefits form, the payment for services should be sent to the provider unless the provider is .

Accepted Answer

out of network

Question 13

57. If the insurance and coding specialist suspects Medicare fraud she should contact the

Accepted Answer

OIG

Question 14

59. The patient opted to have a tubal ligation performed. Witch of the following is needed in order for the third party payer to cover the procedure.

Accepted Answer

PRE-CERTIFICATION

Question 15

61. Witch of the following must be verified to process a credit card transaction?

Accepted Answer

account number, credit card number, security code

Question 16

65. a 43 year oold established patient presented to office for his annual visit. the physican preformed a comprehensive history and exam. The physican wrote a refill for the chronic condition of diabetes.

Accepted Answer

9369, Z00.00, I10, E11.9

Question 17

67. Witch of the following patient information is needed to determine a Medicaid siding fee scale?

Accepted Answer

poverty level, number of dependents, salary

Question 18

69. A patient was seen in the office charges were recored and summited to the patients insurance, and an EOB was received by the office with a payemtn of 70.89$. these transation should be recored in the

Accepted Answer

patient ledger

Question 19

75. The patient returned to the operative suite 10 days postoperative for an I&D due to  a post operative infection. the final lab results discover the organism is pseuidomonas mallei.

Accepted Answer

T81.4xxA, A24.0

Question 20

78. Witch of the following processes makes final determination for payment in an appeal board?

Accepted Answer

arbitration

Question 21

86.  The patient presents today for the upper gastrointestinal (GI) endoscopy and biopsy of the stomach. witch of the following is the correct CPT.

Accepted Answer

43239

Question 22

89. Witch of the following regulations prohibits the submission of fraudulent claim or making a false stamen or representation in connection with a claim.

Accepted Answer

federal false claims act

Question 23

91. A 72 year old patient is undergoing a corneal transplant. An anesthesiologist is personally performing monitored anesthesia care. Witch of the following modifiers should be reported for the anesthesia?

Accepted Answer

-AA-QS

Question 24

93. A patient presents to the ED with multiple stab wounds to the arms and chest. On examination there are 3 deep laceration to the arms measuring 1.2cm, 1.4cm, and 2.1cm requiring complex closure, and 2 superficial wounds measuring  1.3cm, and 2.4cm .

Accepted Answer

13121, 12032-59

Question 25

94. Witch of the following forms provides information from the managed care organization that paid on the claim?

Accepted Answer

EOB

Question 26

96. In order to have claims paid as quickly as possible, the insurance specialist must be familiar with witch of the following?

Accepted Answer

payers claim processing procedures

Question 27

103. The fair debt collection practices act restricts debt collectors from engaging the conduct that includes

Accepted Answer

calling before 8:00 AM or after 9:00 PM, innless permission is giving.

Question 28

105. The patient from atherosclerotic heart disease caused by plaque deposits in a grafted internal mammary artery. The patient underwent arterial bypass graft four months ago. Witch of the following ICD-10 codes should be assigned.

Accepted Answer

I25.810

Question 29

112. a 45 year old patient with diabetic proliferative retinopathy is being seen today for her macular edema. Witch of the following ICD-10 codes should be assigned?

Accepted Answer

E11.351

Question 30

113. Developing an insurance claim begins

Accepted Answer

when the patient calls to schedule an appointment

Question 31

114. A patient presents with symptoms for gastric reflex. The physician preformed EGD, flexible transoral. The scope was advanced to the stomach, bnut unavble to advance to duodenum due to gastric bolus. physican will return patient for second EGD after c

Accepted Answer

43235-53

Question 32

115. Witch of the following protects federal healthcare programs from fraud and abuse by healthcare provides who solicit referrals?

Accepted Answer

Anti-Kickback statute

Question 33

117. A physician uses cryotheraphy for correction of trichiasis. Witch of the following CPT codes should be assigned.

Accepted Answer

67825

Question 34

121. The patient presents to the ED with RLQ pain and fever. The physicians list appendices as a possible diagnosis. Witch of the ICD-10 codes should be assigned.

Accepted Answer

R10.31, R50.9

Question 35

122. When posting transactions for electronic claims submission, it is necessary to enter witch of the following items onto the claims?

Accepted Answer

physicians office fee

Question 36

123. Witch of the following Medicare parts covers inpatient hospital stays?

Accepted Answer

Part A

Question 37

125. A patient presents for excision on his arm. the lesion was 3 cm with 0.5 cm margins. It was a full thickness removal and the pathology proved it to be a benign lesion. The closure was simple witch of the following is correct CPT code

Accepted Answer

11404

Question	Answer
1. The patient has returned to the operating room to aspitrate
27. Witch of the following defines the maximum time that a debt can be collected from the time it was incurred or became due?	statute of limitations
29. Witch of the following financial reports produces a quarterly review of any dollar amount a patient still owes after all insurance carriers claim payments have been received?	aging
34. Witch of the following is the correct procedure for keeping a workers compensation patients financial an health records when the same physician is also seeing the patient as a private patient?	separate financial and health records must be used.
35. Witch of the following is the correct CPT code assignment for mediastina and region lymphadenectomy with a RT video assisted theoretic (VATS) lobectomy?	32663-RT, 32674
40. A patient presents with low back pain. the physician ordered an MRI and discovered the patient has L5/S1 spondylolisthesis. Witch of the following is the correct ICD-10-CM code assignment.	M43.17
41. When posting an insurance payment via an EOB, the amount that is considered contractual is the?	Insurance allowed amount.
42. Applying the birthday rule, a minor child comes in. Both parents have remarried and the child is listed on the mothers, fathers and both step parents polocies. The mothers birthday is April 16, stepfathers birthday MArch 19	fathers plan is primary, mothers plan is secondary.
46. Patient presents to office with cough, chest tightness, and sore throat. the physician assessment is URI. Witch of the correct ICD-10-CM code?	J06.9
47. Witch of the following are violations of the Stark Law.	accepting gifts in place of payment from patients, referring patients to facilities where the provider has a financial interest.
48. When a document is changed in an EHR, the original documentation is?	hidden
52. Collecting statistics on the frequency of copay collection at time of service is a step in the process of correct response?	managing A/R
53. When the patient has signed the assignment of benefits form, the payment for services should be sent to the provider unless the provider is .	out of network
57. If the insurance and coding specialist suspects Medicare fraud she should contact the	OIG
59. The patient opted to have a tubal ligation performed. Witch of the following is needed in order for the third party payer to cover the procedure.	PRE-CERTIFICATION
61. Witch of the following must be verified to process a credit card transaction?	account number, credit card number, security code
65. a 43 year oold established patient presented to office for his annual visit. the physican preformed a comprehensive history and exam. The physican wrote a refill for the chronic condition of diabetes.	9369, Z00.00, I10, E11.9
67. Witch of the following patient information is needed to determine a Medicaid siding fee scale?	poverty level, number of dependents, salary
69. A patient was seen in the office charges were recored and summited to the patients insurance, and an EOB was received by the office with a payemtn of 70.89$. these transation should be recored in the	patient ledger
75. The patient returned to the operative suite 10 days postoperative for an I&D due to a post operative infection. the final lab results discover the organism is pseuidomonas mallei.	T81.4xxA, A24.0
78. Witch of the following processes makes final determination for payment in an appeal board?	arbitration
86. The patient presents today for the upper gastrointestinal (GI) endoscopy and biopsy of the stomach. witch of the following is the correct CPT.	43239
89. Witch of the following regulations prohibits the submission of fraudulent claim or making a false stamen or representation in connection with a claim.	federal false claims act
91. A 72 year old patient is undergoing a corneal transplant. An anesthesiologist is personally performing monitored anesthesia care. Witch of the following modifiers should be reported for the anesthesia?	-AA-QS
93. A patient presents to the ED with multiple stab wounds to the arms and chest. On examination there are 3 deep laceration to the arms measuring 1.2cm, 1.4cm, and 2.1cm requiring complex closure, and 2 superficial wounds measuring 1.3cm, and 2.4cm .	13121, 12032-59
94. Witch of the following forms provides information from the managed care organization that paid on the claim?	EOB
96. In order to have claims paid as quickly as possible, the insurance specialist must be familiar with witch of the following?	payers claim processing procedures
103. The fair debt collection practices act restricts debt collectors from engaging the conduct that includes	calling before 8:00 AM or after 9:00 PM, innless permission is giving.
105. The patient from atherosclerotic heart disease caused by plaque deposits in a grafted internal mammary artery. The patient underwent arterial bypass graft four months ago. Witch of the following ICD-10 codes should be assigned.	I25.810
112. a 45 year old patient with diabetic proliferative retinopathy is being seen today for her macular edema. Witch of the following ICD-10 codes should be assigned?	E11.351
113. Developing an insurance claim begins	when the patient calls to schedule an appointment
114. A patient presents with symptoms for gastric reflex. The physician preformed EGD, flexible transoral. The scope was advanced to the stomach, bnut unavble to advance to duodenum due to gastric bolus. physican will return patient for second EGD after c	43235-53
115. Witch of the following protects federal healthcare programs from fraud and abuse by healthcare provides who solicit referrals?	Anti-Kickback statute
117. A physician uses cryotheraphy for correction of trichiasis. Witch of the following CPT codes should be assigned.	67825
121. The patient presents to the ED with RLQ pain and fever. The physicians list appendices as a possible diagnosis. Witch of the ICD-10 codes should be assigned.	R10.31, R50.9
122. When posting transactions for electronic claims submission, it is necessary to enter witch of the following items onto the claims?	physicians office fee
123. Witch of the following Medicare parts covers inpatient hospital stays?	Part A
125. A patient presents for excision on his arm. the lesion was 3 cm with 0.5 cm margins. It was a full thickness removal and the pathology proved it to be a benign lesion. The closure was simple witch of the following is correct CPT code	11404

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